These notes are intended for doctors and nurses supervising F2 doctors in surgeries at Horfield Health Centre.
The F2 will usually consult alone. There will be a named doctor or nurse to supervise them for each surgery. This supervising doctor will be booked out some slots to enable them to have time to perform this role. What are the expectations of the supervising doctor/nurse?
- To answer queries as they arise. Initially F2 doctors are likely to need to seek advice frequently. They will do this by phoning or speaking face to face, at times the supervisor may need to see the patient the F2 is discussing.
- As the F2 becomes more experienced it may be appropriate for them to discuss the patients they have seen at the end of the surgery time with the supervisor. The areas that need to be considered are clinical as well as documentation.
- The supervising doctor or nurse needs to identify what extra information such as relevant past history, family history, new patient details, or QOF data, is needed in order for F2s to make an accurate diagnosis, formulate a plan of action and offer appropriate preventive medicine in the context of modern primary care. The documentation of the consultation needs to be looked at and any improvements suggested.
- The F2 or supervisor may identify learning needs for the F2 which the F2 can pursue in self directed learning time or in a tutorial with their clinical supervisor.
- The supervisor may find it helpful to look at the F2 entries on EMIS as the surgery progresses in order to be aware of documentation as well as clinical issues.
- If the F2 has patients who do not arrive or deals with quickly she/he can see patients on the open surgery list. If this happens repeatedly it may be appropriate for the F2 to have more appointment slots per session. The F2 or supervising GP/nurse can suggest this is appropriate to the clinical supervisor who will discuss with the F2 and change slots as needed. We don’t want the F2s to get bored!
- Supervisors of surgeries are encouraged to feedback impressions on performance and learning needs to the F2’s clinical supervisor.
The supervising doctor or nurse would expect to meet with the F2 at the end of a surgery as a matter of routine to discuss these issues. This meeting may be very short if most cases have already been discussed during the surgery.